Structural Observation Agreement - City Of Tukwila Building Division Page 14
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14City of Tukwila
Building Division
Building Permit Number: __________________
To: City of Tukwila
Department of Community Development
Building Division
6300 Southcenter Blvd, Ste 100
Tukwila, WA 98188
206-431-3670
Attention: Jerry E. Hight, Building Official
Re: Final Project Report
Project Name: ________________________________________________________________________
Project Address: ______________________________________________________________________
To Whom It May Concern:
This is to certify that I performed special inspection on the following portions of the work at the above
address, which required continuous inspection and which I was employed to inspect:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Based upon my personal observation and written reports of this work, it is my judgment that the
inspected work was performed, to the beset of my knowledge, in accordance with the approved
(stamped) plan(s), specifications, and the applicable workmanship provisions of the International
Building Code.
Special Inspector’s Signature: _______________________
Print Full Name: __________________________________
Date: _________________________
Registered Professional Signature*: ________________________
*(Affix professional wet seal)
cc:
Client/Owner
Architect/Engineer
14
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